Document Detail


Long term follow up of polytetrafluoroethylene-covered stents implanted during percutaneous coronary intervention for management of acute coronary perforation.
MedLine Citation:
PMID:  21953680     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: Determine the long term outcomes for patients receiving PTFE covered stents as definitive therapy, in our institution, for the management of acute coronary perforation. BACKGROUND: Coronary perforation as a complication of percutaneous coronary intervention (PCI) is associated with high morbidity and mortality. Management options included observation only, or a combination of several or all of these approaches: reversal of anticoagulation, prolonged balloon inflation, deployment of a standard stent, emergent cardiac surgery or insertion of a polytetrafluoroethylene (PTFE) covered stent. METHODS: With our IRB approval, records of 12,093 consecutive patients who received PCI during a five year period from January 2002 though December 2006 were reviewed and 50 patients who had coronary perforation as a complication of PCI were identified. RESULTS: Of the 21 patients who received a PTFE covered stent to manage coronary perforation, one died secondary to acute thrombosis within the PTFE covered stent in the first 24 hours and one required emergent cardiac surgery due to continued contrast extravasation despite PTFE covered stent deployment. The other 19 patients were followed long term (mean 55 months) and only one survivor had a potentially life threatening outcome (subacute stent thrombosis) over that time period. CONCLUSION: Utilization of a PTFE-covered stent may be a reasonable short and long term option to manage acute coronary perforation that occurs during PCI. Based on this limited experience, successful PTFE covered stent deployment as the conclusive treatment for coronary perforation is associated with a favorable long term event free survival rate. © 2011 Wiley-Liss, Inc.
Authors:
Kevin A Copeland; James T Hopkins; William S Weintraub; Ehsanur Rahman
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-9-27
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  -     ISSN:  1522-726X     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-9-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Wiley-Liss, Inc.
Affiliation:
Department of Medicine/Cardiology, Christiana Care Health System, Newark, DE, U.S.A.
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